Organization Active NPI

Bessemer Family Foot Clinic LLC

  • Foot Surgery Podiatrist
  • Bessemer, AL
National Provider Identifier
1043756513
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00174 Issued in AL
Legal business name
BESSEMER FAMILY FOOT CLINIC LLC
Practice address
1721 4TH Ave N
Bessemer, AL 35020-4838
Phone
(205) 424-2540
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cynthia Hobdy, D.P.M.NPI 1437118023
Title
Podiatrist
Phone
(205) 424-2540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 00174 AL Primary

Addresses

Primary practice location

1721 4TH Ave N
Bessemer, AL 35020-4838

Mailing address

1721 4TH Ave N
Bessemer, AL 35020-4838
Phone (205) 424-2540

Other identifiers 1

IdentifierTypeStateIssuer
009912146MCDMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170531000962 AL Part B Supplier - Clinic/Group Practice 7719254499 Receives reassigned benefits from 1 practitioner
Practice locations: Bessemer, AL; Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1721 4th Ave N
Bessemer, AL 35020
Phone (205) 424-2540

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13803/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1043756513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 4TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204838",
            "telephone_number": "205-424-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 4TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204838",
            "telephone_number": "205-424-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESSEMER FAMILY FOOT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "HOBDY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "205-424-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "00174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912146MCD",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.